NPIMap

Organization Active NPI

Brent L. Hadlock, OD, PC

Doing business as Pearle Vision Center

  • Durable Medical Equipment & Medical Supplies
  • Orem, UT
National Provider Identifier
1982722443
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
110079-9934 Issued in UT
Legal business name
BRENT L. HADLOCK, OD, PC
Doing business as
Pearle Vision Center
Practice address
1448 S State St
Orem, UT 84097-7704
Phone
(801) 224-0451
Fax
(801) 224-0452
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brent L Hadlock, O.D.NPI 1578648564
Title
President
Phone
(801) 224-0451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 110079-9934 UT Primary

Addresses

Primary practice location

1448 S State St
Orem, UT 84097-7704

Mailing address

1448 S State St
Orem, UT 84097-7704
Phone (801) 224-0451

Other identifiers 1

IdentifierTypeStateIssuer
519526886017MedicaidUT

Other names 1

  • Pearle Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

1448 S State St
Orem, UT 84097
Phone (801) 224-0451

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982722443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840977704",
            "telephone_number": "801-224-0451",
            "fax_number": "801-224-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840977704",
            "telephone_number": "801-224-0451",
            "fax_number": "801-224-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT L. HADLOCK, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HADLOCK",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-224-0451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "110079-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519526886017",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.